Divorce Intake Form

CLIENT INFORMATION
Gender
NAME CHANGE
Are you requesting a name change?
MARRIAGE DETAILS
Do you already have a signed Separation and Property Settlement Agreement?
PHONE EMAIL PHYSICAL ADDRESS MAILING ADDRESS

(if different from Physical Address)

CLIENT RESIDENCY STATUS SPOUSE INFORMATION
Will your spouse sign a document agreeing to the divorce?
How do you want your spouse to receive the documents?
What is your spouse's gender?
SPOUSE NAME CHANGE
Is your spouse requesting a name change?
SPOUSE CONTACT INFORMATION

NOT FILLING IN THE ADDRESS WILL DELAY YOUR CASE. If current address is unknown, what was the last known mailing address?

PHONE EMAIL CHILDREN FINANCIALS UNITED STATES ARMED SERVICES STATUS OF DIVORCE CLIENT DEMOGRAPHIC INFORMATION SPOUSE DEMOGRAPHIC INFORMATION OTHER INFORMATION

Client Reviews

Great understanding of my situation, very responsible and detail oriented. I could highly recommend Kublan Khan PLC - I don’t think they have any competition here in Falls Church area.

- Ivo Koytchev

Because of him I saved time, money and my nerves and we reached an agreement with my x. I highly recommend Andrei to all my friends with any complicated case they might have.

- Tina Hassan

Mr. Kublan has my absolute highest rating, this time on my divorce. I have no spousal support payments, no payments in arrears (I stopped paying support 6 months ago), no health insurance payments, no retirement benefits...

- Rick Dunbar

Having been represented before by several attorneys in the area, I've experienced the best service and results with Kublan&Austin. Great professionalism, attentive and knowledgeable staff. Always kept me informed. I...

- Alexandra Xela

I usually don’t take the time to post stuff like this but upon reflecting on my experience with Andrei Kublan and his firm I felt it necessary. Divorce is not a pretty thing and having an attorney represent you that...

- Maha Kandil

I am very grateful to have found Andrei Kublan when I did: at the point of re-litigating child custody. Mr. Kublan works for the result. He knows how to build a case, how to collect the evidence, how to argue, and how to...

- Nadia Ciuha

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